Organization Active NPI

Calhoun Family Chiropractic, LLC

  • Chiropractor
  • Clemson, SC
National Provider Identifier
1780936567
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2766 Issued in SC
Legal business name
CALHOUN FAMILY CHIROPRACTIC, LLC
Practice address
1353 Tiger Blvd
Suite 4
Clemson, SC 29631-2632
Phone
(864) 653-3928
Fax
(864) 653-4949
NPI assigned
Oct 4, 2012
Last updated
Oct 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ryan Calhoun, D.C.NPI 1801857008
Title
Chiropractor/Business Owner
Phone
(864) 653-3928

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2766 SC Primary

Addresses

Primary practice location

1353 Tiger Blvd
Suite 4
Clemson, SC 29631-2632

Mailing address

1353 Tiger Blvd
Suite 4
Clemson, SC 29631-2632
Phone (864) 653-3928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130628000175 SC Part B Supplier - Clinic/Group Practice 5890935639 Receives reassigned benefits from 2 practitioners
Practice locations: Clemson, SC

National Provider Directory

National Provider Directory

Locations

1353 Tiger Blvd
Ste 4
Clemson, SC 29631
Phone (864) 653-3829

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1780936567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 TIGER BLVD",
            "address_2": "SUITE 4",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296312632",
            "telephone_number": "864-653-3928",
            "fax_number": "864-653-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1353 TIGER BLVD",
            "address_2": "SUITE 4",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296312632",
            "telephone_number": "864-653-3928",
            "fax_number": "864-653-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALHOUN FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-04",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "CALHOUN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CHIROPRACTOR/BUSINESS OWNER",
        "authorized_official_telephone_number": "864-653-3928",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clemson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.